Dysfunction In Learning
Throat and Voice Problems
Therapy Oral Language
Speech Therapy Treatment
excellently i can hear after detailed test of my hearing power and digital hearing aids fitting ..thanq for giving time to solve the puzzles that was there in my mind regarding hearing aids..thnq doc
feeling excellent after the digital hearing aids fitting in to my ears , it really works and thanq fr giving time to solve the puzzles tht was in my mind ..thanq doc..
Sir, my cousin's child having a mute and deaf problem by birth. When I saw the doctor at my native (Brahmapur, odissa) he says the left hear have a hearing sensitivity of 70dbm and right 90dbm. Sir, is it treatable to talk& hear like normal persons.
I am suffering under sensory neural hearing loss for more than thirty years due to well path and diving in the village decibel loss 60 both sides many vitamins minerals tablets homeopathy Ayurvedic tablets taken but no improvement as far as clarity of words spoken by persons and over phone tv etc hearing aids tried no use it only increases the sound but not helping for clarity of words as far as sound enough for me life time my age is 65 Is there any medicine essential oils etc in the world to restore my clarity hearing of words.
I am having dull hearing. If I undertake ear operation for eardrum holes clear or infection cleaning and in case of operation failure. Can I use hear with hearing aid?
I am suffering from tinnitus, the cause of tinnitus is high level of noise. I am engineer, so at my company there is hammering on metal plate and once I was standing near to it. From that day my ear can not listen properly, and also 24 hours continuous noise hearing even I am in silence. Please help me to cure tinnitus.
My mother is 48 years old and she is unable to hear slowly she is hearing very loudly. Please suggest me the solution. Operation/ lager treatment/hearing machine. What is the better for her. She is suffering from last 8 yrs.
Hello doctor, my friend has a stammering problem and it rises day by day. What should he do? Suggest please.
I listen to songs via headphones most of the time at least 4 to 8 hrs a day but then my right ear started paining so I reduced the usage of headphones gradually now I rarely use it maybe half hour a day. Is been around 6 month since I reduced the usage time of headphones. Now a days at night time my ear pain starts and hearing a ringing sound for past 2 months. What could be the problem?
My bro has duff (46%) from child hood. When we consult to a doctor at his childhood. Doctor says, he was very weak so it happened. He will recover when he grow up. And also he can not talk normally. Some words are cannot spoke by him. He can not hear from some far also. But he understands by lip reading. We already tried hearing machine at cost 30000. Is there any cure of that duff and talking clearly by any operation. My bro age is now 17 running. please doctor give any suggestion. We are suffering for him very much.
I am 34 years male. I am suffering with hearing loss (40% (R)& 45%(L)) in both ears for last 6 months. After audiometry and impedance test, I was said that my stapes bone inside the ear has been grown. I have been suggested for ear operation to replace this bone. Also recently I have started the tinnitus. But I do not want to go for operation as this being complex and near to inner ear. Another reason is non-availability of good surgeon in my area. I have started sodium fluoride tablets just to prevent further hearing loss and some yoga exercise. I may go for hearing aid as well. Please suggest if any food supplements or preventions to decrease the tinnitus. Thanks,
Several diseases, conditions, or surgical interventions can result in swallowing problems.
General signs may include:
Coughing during or right after eating or drinking
Wet or gurgly sounding voice during or after eating or drinking
Extra effort or time needed to chew or swallow
Food or liquid leaking from the mouth or getting stuck in the mouth
Recurring pneumonia or chest congestion after eating
Weight loss or dehydration from not being able to eat enough
As a result, adults may have:
Poor nutrition or dehydration
Risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease
Less enjoyment of eating or drinking
Embarrassment or isolation in social situations involving eating
Most swallowing problems can be treated, although the treatment you receive will depend on the type of dysphagia you have.
Treatment will depend on whether your swallowing problem is in the mouth or throat (oropharyngeal, or 'high' dysphagia), or in the oesophagus (oesophageal, or 'low' dysphagia).
The cause of dysphagia is also considered when deciding on treatment. In some cases, treating the underlying cause, such as mouth cancer or oesophageal cancer, can help relieve swallowing problems.
Treatment for dysphagia may be managed by a group of specialists known as a multidisciplinary team (mdt). Your mdt may include a speech and language therapist (slt), a surgeon, and a dietitian.
High (oropharyngeal) dysphagia
High dysphagia is swallowing difficulties caused by problems with the mouth or throat.
It can be difficult to treat if it's caused by a condition that affects the nervous system. This is because these problems can't usually be corrected using medication or surgery.
There are three main treatments for high dysphagia:
Dietary changes and
You may be referred to a speech and language therapist (slt) for swallowing therapy if you have high dysphagia.
An slt (speech language therapist) is a healthcare professional trained to work with people with feeding or swallowing difficulties.
Slts use a range of techniques that can be tailored to your specific problem, such as teaching you swallowing exercises.
You may be referred to a dietitian (specialist in nutrition) for advice about changes to your diet to make sure you receive a healthy, balanced diet.
An slt can give you advice about softer foods and thickened fluids that you may find easier to swallow. They may also try to ensure you're getting the support you need at meal times.
Feeding tubes can be used to provide nutrition while you're recovering your ability to swallow. They may also be required in severe cases of dysphagia that put you at risk of malnutrition and dehydration.
A feeding tube can also make it easier for you to take the medication you may need for other conditions.
There are two types of feeding tubes:
A nasogastric tube - a tube that is passed down your nose and into your stomach
A percutaneous endoscopic gastrostomy (peg) tube - a tube that is implanted directly into your stomach
Nasogastric tubes are designed for short-term use. The tube will need to be replaced and swapped to the other nostril after about a month. Peg tubes are designed for long-term use and last several months before they need to be replaced.
Most people with dysphagia prefer to use a peg tube because it can be hidden under clothing. However, they carry a greater risk of complications compared with nasogastric tubes.
Minor complications of peg tubes include tube displacement, skin infection, and a blocked or leaking tube. Two major complications of peg tubes are infection and internal bleeding.
Resuming normal feeding may be more difficult with a peg tube compared with using a nasogastric tube. The convenience of peg tubes can make people less willing to carry out swallowing exercises and dietary changes than those who use nasogastric tubes.
You should discuss the pros and cons of both types of feeding tubes with your treatment team.
Low (oesophageal) dysphagia
Low dysphagia is swallowing difficulties caused by problems with the oesophagus.
Depending on the cause of low dysphagia, it may be possible to treat it with medication. For example, proton pump inhibitors (ppis) used to treat indigestion may improve symptoms caused by narrowing or scarring of the oesophagus.
Botulinum toxin can sometimes be used to treat achalasia. This is a condition where the muscles in the oesophagus become too stiff to allow food and liquid to enter the stomach.
It can be used to paralyse the tightened muscles that prevent food from reaching the stomach. However, the effects only last for around six months.
Other cases of low dysphagia can usually be treated with surgery.
Endoscopic dilation is widely used to treat dysphagia caused by obstruction. It can also be used to stretch your oesophagus if it's scarred.
Endoscopic dilatation will be carried out during an internal examination of your oesophagus (gastroscopy) using an endoscopy.
An endoscope is passed down your throat and into your oesophagus, and images of the inside of your body are transmitted to a television screen.
Using the image as guidance, a small balloon or a bougie (a thin, flexible medical instrument) is passed through the narrowed part of your oesophagus to widen it. If a balloon is used, it will be gradually inflated to widen your oesophagus before being deflated and removed.
You may be given a mild sedative before the procedure to relax you. There's a small risk that the procedure could cause a tear or perforate your oesophagus.
Find out more about gastroscopy.
Inserting a stent
If you have oesophageal cancer that can't be removed, it's usually recommended that you have a stent inserted instead of endoscopic dilatation. This is because, if you have cancer, there's a higher risk of perforating your oesophagus if it's stretched.
A stent (usually a metal mesh tube) is inserted into your oesophagus during an endoscopy or under x-ray guidance.
The stent then gradually expands to create a passage wide enough to allow food to pass through. You'll need to follow a particular diet to keep the stent open without having blockages.
If your baby is born with difficulty swallowing (congenital dysphagia), their treatment will depend on the cause.
Dysphagia caused by cerebral palsy can be treated with speech and language therapy. Your child will be taught how to swallow, how to adjust the type of food they eat, and how to use feeding tubes.
Cleft lip and palate
Cleft lip and palate is a facial birth defect that can cause dysphagia. It's usually treated with surgery.
Narrowing of the oesophagus
Narrowing of the oesophagus may be treated with a type of surgery called dilatation to widen the oesophagus.
Gastro-oesophageal reflux disease (gord)
Dysphagia caused by gastro-oesophageal reflux disease (gord) can be treated using specially thickened feeds instead of your usual breast or formula milk. Sometimes medication may also be used.